NSG 3250 EVALUATION EXAM ACTUAL QUESTIONS AND
SOLUTIONS GRADED A+
✔✔When do you tell the doctor that the patient has an allergy? - ✔✔When the doctor
orders something that the patient is allergic to, or latex allergies
✔✔Malignant hyperthermia - ✔✔A hereditary condition of uncontrolled heat production
that occurs when susceptible people receive certain anesthetic drugs.
✔✔What to remove for surgery? - ✔✔- pierced jewelry
- artificial nails
- hearing aids
- contact lenses
- wedding bands
✔✔Important nutrients for wound healing - ✔✔- protein
- amino acids
- carbohydrates and fats
- water
- vitamin c
- zinc
- magnesium
✔✔Medications with potential interaction with anesthetics - ✔✔- corticosteroids
- diuretics
- phenothiazines
- tranquilizers
- insulins
- anticoagulants
- anticonvulsants
- thyroid hormone
- opioids
✔✔When to check for possible infection - ✔✔24 hours after surgery
✔✔Preoperative instructions to prevent postoperative complications (patient education)
- ✔✔- diaphragmatic breathing
- coughing
- leg exercises
- turning to the side
- incentive spirometer
✔✔Cognitive coping strategies - ✔✔- guided imagery
- distraction
- optimistic self-recitation
, - aromatherapy
- reiki
✔✔Ways to reduce anxiety of a patient who is about to undergo a procedure - ✔✔- ask
them if they want a family member to walk down with them to the procedure
- discussion with the patient to help determine the sources of fears
✔✔Potential adverse effects of surgery and anesthesia - ✔✔- agitation and
disorientation
- allergic reaction
- bleeding
- cardiac arrhythmia
- malignant hyperthermia
- over sedation or under sedation
✔✔Circulating nurse - ✔✔a nurse who assists the scrub nurse and the surgeons during
surgery, positioning the patient and equipment, obtaining additional supplies, adjusting
lighting as needed, and helps monitor vital signs
✔✔Unrestricted zone - ✔✔street clothes allowed
✔✔restricted area - ✔✔includes operating rooms and sterile storage areas; proper OR
attire and masks required in this area
✔✔4. General Anesthesia stages - ✔✔- stage 1: beginning anesthesia
- stage 2: excitement
- stage 3: surgical anesthesia
- stage 4: medullary depression
✔✔Stage 1: beginning anesthesia - ✔✔-dizziness and feeling of detachment
- noises are exaggerated
- still conscious
- may sense inability to move extremities easily
✔✔Stage 2: excitement - ✔✔is a period of excitement and often combative behavior,
with many signs of sympathetic stimulation (e.g., tachycardia, increased respirations,
blood pressure changes, dilated pupils)
✔✔Stage 3: Surgical Anesthesia - ✔✔The patient is unconscious and has no pain
reflexes; respiration is very regular, and blood pressure is maintained.
✔✔Stage 4: Medullary Depression - ✔✔The patient develops severe respiratory and
cardiovascular depression that requires mechanical and pharmacologic support.
Happens when too much anesthetic is given.
SOLUTIONS GRADED A+
✔✔When do you tell the doctor that the patient has an allergy? - ✔✔When the doctor
orders something that the patient is allergic to, or latex allergies
✔✔Malignant hyperthermia - ✔✔A hereditary condition of uncontrolled heat production
that occurs when susceptible people receive certain anesthetic drugs.
✔✔What to remove for surgery? - ✔✔- pierced jewelry
- artificial nails
- hearing aids
- contact lenses
- wedding bands
✔✔Important nutrients for wound healing - ✔✔- protein
- amino acids
- carbohydrates and fats
- water
- vitamin c
- zinc
- magnesium
✔✔Medications with potential interaction with anesthetics - ✔✔- corticosteroids
- diuretics
- phenothiazines
- tranquilizers
- insulins
- anticoagulants
- anticonvulsants
- thyroid hormone
- opioids
✔✔When to check for possible infection - ✔✔24 hours after surgery
✔✔Preoperative instructions to prevent postoperative complications (patient education)
- ✔✔- diaphragmatic breathing
- coughing
- leg exercises
- turning to the side
- incentive spirometer
✔✔Cognitive coping strategies - ✔✔- guided imagery
- distraction
- optimistic self-recitation
, - aromatherapy
- reiki
✔✔Ways to reduce anxiety of a patient who is about to undergo a procedure - ✔✔- ask
them if they want a family member to walk down with them to the procedure
- discussion with the patient to help determine the sources of fears
✔✔Potential adverse effects of surgery and anesthesia - ✔✔- agitation and
disorientation
- allergic reaction
- bleeding
- cardiac arrhythmia
- malignant hyperthermia
- over sedation or under sedation
✔✔Circulating nurse - ✔✔a nurse who assists the scrub nurse and the surgeons during
surgery, positioning the patient and equipment, obtaining additional supplies, adjusting
lighting as needed, and helps monitor vital signs
✔✔Unrestricted zone - ✔✔street clothes allowed
✔✔restricted area - ✔✔includes operating rooms and sterile storage areas; proper OR
attire and masks required in this area
✔✔4. General Anesthesia stages - ✔✔- stage 1: beginning anesthesia
- stage 2: excitement
- stage 3: surgical anesthesia
- stage 4: medullary depression
✔✔Stage 1: beginning anesthesia - ✔✔-dizziness and feeling of detachment
- noises are exaggerated
- still conscious
- may sense inability to move extremities easily
✔✔Stage 2: excitement - ✔✔is a period of excitement and often combative behavior,
with many signs of sympathetic stimulation (e.g., tachycardia, increased respirations,
blood pressure changes, dilated pupils)
✔✔Stage 3: Surgical Anesthesia - ✔✔The patient is unconscious and has no pain
reflexes; respiration is very regular, and blood pressure is maintained.
✔✔Stage 4: Medullary Depression - ✔✔The patient develops severe respiratory and
cardiovascular depression that requires mechanical and pharmacologic support.
Happens when too much anesthetic is given.
